Evaluation of success rate of exogenous obesity treatment with an ıntensive follow up program

Objective: The aim of this study was to assess the success rate of exogenous obesity treatment consisting of life style changes by intensive follow-up in prepubertal children. Material and Methods: Forty-two obese prepubertal patients between age 4 and 9 years were enrolled in this study. Patients were divided into two groups: the standard follow-up group and the intensive follow-up groups. In each group weight, height, body mass index (BMI), waist circumference, body fat percentage, and biochemical parameters were measured. In the standard follow-up group, individually tailored diet and exercise programs were prepared and patients were recalled for a visit in six months as our usual practise. In the intensive follow-up group, eating habits were questioned and individually tailored diet programs were introduced. Additionaly, an exercise coach prepared individual exercise programs. Patients in this group were recalled monthly for six months. At every monthly visit, weight, height, BMI, waist circumference, and body fat percentages were measured and compliance with the diet and exercise programs was reviewed. Both groups were reassessed at the end of the sixth month. Results: The intensive follow-up group showed statistically significant reductions in BMI, waist circumference, and body fat percentage when compared to the standard follow-up group. These findings demonstrate that in prepubertal obese children lifestyle changes implemented by intensive monitoring could increase the success rate of exogenous obesity treatment.